Individual provider Active NPI

Elizabeth T Dolgos, M.D.

  • Child & Adolescent Psychiatry Physician
  • Salinas, CA
National Provider Identifier
1679575674
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
C54494 Issued in CA
Practice address
951 Blanco Cir Ste B
Salinas, CA 93901-4451
Phone
(831) 784-2150
Fax
(831) 772-8154
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26132 AL
Child & Adolescent Psychiatry Physician 2084P0804X C54494 CA Primary

Addresses

Primary practice location

951 Blanco Cir Ste B
Salinas, CA 93901-4451

Mailing address

951 Blanco Cir Ste B
Salinas, CA 93901-4451
Phone (831) 784-2150

Other identifiers 2

IdentifierTypeStateIssuer
331600607MedicaidAL
331634607MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26132ALMDPsychiatry Physician
C54494CAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1679575674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BLANCO CIR STE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014451",
            "telephone_number": "831-784-2150",
            "fax_number": "831-772-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BLANCO CIR STE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014451",
            "telephone_number": "831-784-2150",
            "fax_number": "831-772-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGOS",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "26132",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C54494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331600607",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331634607",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.